论文部分内容阅读
目的:探讨CT检查在外伤性肾损伤的诊断,分析其在临床治疗中的应用价值。方法:对我院2010年1月～2011年10月收治的54例外伤性肾损伤患者资料进行回顾性分析,总结患者的CT检查结果。结果:使用CT可以将外伤性肾损伤分为4型:Ⅰ型肾挫伤(肾内血肿);Ⅱ型肾包膜下出血;III型严重肾损伤(肾横断或肾碎裂);Ⅳ型肾血管撕裂伤。临床对Ⅰ型、Ⅱ型可以采用保守治疗,III型以上患者可以采用手术治疗。结论:使用CT检查在外伤性肾损伤具有较好的诊断,且可以辅助对患者进行治疗方法的确定。
Objective: To investigate the diagnostic value of CT examination in traumatic renal injury and to analyze its value in clinical treatment. Methods: The data of 54 patients with traumatic renal injury admitted in our hospital from January 2010 to October 2011 were analyzed retrospectively, and the results of CT examination were summarized. RESULTS: Traumatic renal injury was classified into type 4 using CT: Type I renal contusion (intrarenal hematoma); Type II renal subcapsular hemorrhage; Type III severe renal injury (renal transection or renal fragmentation); Type IV kidney Vascular lacerations. Clinical type Ⅰ, type Ⅱ can be used conservative treatment, type III or more patients can be treated surgically. CONCLUSIONS: The use of computed tomography (CT) in the diagnosis of traumatic kidney injury has a good diagnosis, and can help determine the treatment of patients.